Individual
SUZAN J MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
315 S 9TH ST, SUITE 15, LINCOLN, NE 68508-2247
(402) 477-8278
(402) 477-8284
Mailing address
315 S 9TH ST, SUITE 15, LINCOLN, NE 68508-2247
(402) 477-8278
(402) 477-8284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMHP 881 LCSW 649
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82460
BLUE CROSS OF NEBRASKA
NE
01
—
8857
MIDLANDS CHOICE
—
Enumeration date
12/19/2006
Last updated
07/08/2007
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